IMR Press / EJGO / Volume 8 / Issue 2 / pii/1987016

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Original Research

The influence of pretreatment celiotomy and para-aortic lymphadenectomy on the management of advanced stage squamous cell carcinoma of the cervix

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1 Division of Gynecologic Oncology - Department of Obstetrics and Gynecology University of Pittsburgh - Magee Womens Hospital, Pittsburgh, Pensylvania, USA
Eur. J. Gynaecol. Oncol. 1987, 8(2), 90–98;
Published: 10 April 1987

Thirty patients with advanced stage squamous cell carcinoma of the cervix under­went exploratory, celiotomy and para-aortic lymphadenectomy prior to begining radiation therapy: Para-aortic lymph node metastases were found in 9 patients (30%), and visceral metastases in 2 patients (7%). Findings at celiotomy prior to initiation of therapy allowed patients to be divided into 3 groups: Patients with 1) visceral metastases, 2) para-aortic lymph node metastases but without visceral or scalene lymph node metastases, and 3) patients with disease confined to the pelvis. Therapy was then based on the extent of disease present in each patient. As a result of the surgical findings, 10 of 30 patients (33%) received therapy other than standard pelvic ra­diation therapy. The surgical technique, operative morbidity, and prognostic significance of the surgical findings are discussed. 

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